Clark, Candice A
Clark, Candice A is an sole proprietor health care provider with primary practice located at 152 S Washington St , Belchertown MA 01007-9604. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Clark, Candice A can be contacted via phone (413) 530-3647.Contact Information
Primary practice address
152 S Washington St
Belchertown MA 01007-9604
Phone: (413) 530-3647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | RN212758 | Massachusetts |
Profile Details
| NPI number | 1700297421 |
|---|---|
| LBN Legal business name | Clark, Candice A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2014 |
| Last updated | May 15th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700297421 | NPPES |
| Massachusetts | MEDICAID | 1300237 |
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